Australian Sidecar-Cross Association INC
2007/2008
Membership Form
DATE /
/
PERSONAL DETAILS
Name_______________________
Address______________________Postcode_____
Telephone____________________
Email________________________
Social Member: If you do not ride or passenger please tick ____
SIDECAR DETAILS ONLY REQUIRED IF OWNER OF BIKE
Year bike was
made_______ Year bike was made_______
Type of
bike_____________ Type of
bike____________
Bike No________________ Bike No_______________
Capacity
cc______________ Capacity
cc_____________
Rider or
Passenger________ Rider or
Passenger_______
Class of
bike_____________ Class of
bike_____________
Grade__________________ Grade___________________
2006/2007 Membership $30.00 per Household
A Memberships is
from July 2007 to July 2008
Receive: 4 Newsletters, a ASA Calendar, free access to
the ASA Web Site and plenty more!
Please return to
Cheque or Money Order payable to: The ASA
A Membership card will be sent, once payment is
received
For more info Contact the President Campbell Leitch on
0352352203
(The Committee of the Australian Sidecar-Cross Association Inc- has the
right to refuse any Membership)